• 제목/요약/키워드: difficulty in urination

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"상한론(傷寒論)" 처방(處方) 속의 작약(芍藥) 효능(效能)에 대한 연구(硏究) (The study on the Paeoniae Radix Alba's efficacy in "Sanghanron(傷寒論)" prescription)

  • 방정균
    • 대한한의학원전학회지
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    • 제23권1호
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    • pp.47-58
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    • 2010
  • "Sanghanron(傷寒論)" can be approached through the understanding of the formulas. It is very important to correlate the efficacy of drugs and pathogenesis of syndrome. In this sense, the author examines the Paeoniae Radix Alba's efficacy. The Paeoniae Radix Alba[芍藥] used in Gyejitang(桂枝湯), Galgeuntang(葛根湯), Sogeonjungtang (小建中湯), Jagyakgamchotang(芍藥甘草湯) all have a similar effect. The Paeoniae Radix Alba supplies the tendon and blood meridian with bodily fluids, so it treats the stiffness and pain of the head and neck[頭項强痛], stiffness of the neck and back[項背强几几] and acute pain in the abdomen[腹中急痛] etc. Meanwhile, the Paeoniae Radix Alba treats difficulty in urination. It moistens the path to the excretion of urine included among drugs which increase digestion and transformation.

척추 암전이 환자에서 미추마취후 발생한 마미증후군 -증례 보고- (Cauda Equina Syndrome following Caudal Anesthesia in a Patient with Metastatic Spine Tumor -A case report-)

  • 이준학;박성희;이기남;문준일
    • The Korean Journal of Pain
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    • 제10권1호
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    • pp.134-137
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    • 1997
  • We report a case of cauda equine syndrome following caudal anesthesia possibly caused by metastatic spine tumor. Male, 80-year-old, who had prostatic carcinoma with $L_3$ and $L_4$ spine metastasis was scheduled for bilateral orchiectomy. Twenty two-gauge needle was introduced at sacral hiatus and 15 ml of 2% lidocaine administered. The next morning, patient complained of perineal numbness and urination difficulty. During the next several day patient had episodes of fecal incontinence and motor weakness on both lower extremities. This case reminded us that neuroaxial blocks such as spinal, epidural and caudal anesthesia, should be used with extreme care in patients having neoplasm with high incidence of spine metastasis.

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입원환자의 낙상 위험 예측 요인 (Falls Risk Factors of Inpatients)

  • 김은경;이재창;엄미란
    • 대한간호학회지
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    • 제38권5호
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    • pp.676-684
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    • 2008
  • Purpose: The purpose of this study was to identify the risk factors for falls and to suggest data for developing a program for preventing falls. Methods: This was a case-control study in five university hospitals and a general hospital. In total, 216 patients over the age of 18 yr admitted from January 1 to December 31, 2007 participated. One hundred eight patients with experience of falling were matched by gender, age level, diagnosis, and length of stay with 108 patents with no experience of falling admitted on the same unit. A quality assurance coordinator nurse in each hospital examined 35 fall risk factors developed by researchers. Results: In acute hospitals, history of falls, orientation ability, dizziness or vertigo, general weakness, urination problems, transfer/mobility difficulty, walking dependency, impatience, benzodiazepines, diuretics, and vasodilators showed significance on adjusted-odds ratios for fall. Logistic regression analysis was performed to elucidate the factors that influence falls. The probability of falls was increased by dizziness/vertigo, general weakness, and impatience/agitation. Conclusion: This finding can be used as a useful resource in developing nursing intervention programs to predict and prevent the falls of inpatients.

과민성대장증후군의 형상의학적 고찰 -동의보감(東醫寶鑑)을 중심으로- (Hypersensitive Large Intestine Syndrome in Hyungsang Medicine)

  • 최병래;최영현;한진수;이용태
    • 동의생리병리학회지
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    • 제19권5호
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    • pp.1129-1136
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    • 2005
  • The writer reports the conclusions gained from study about the cause of the hypersensitive large intestine syndrome with Dongeuibogam as the central figure through researching the disharmony among Body Essence, Vital Energy, Mentality, and Blood, mutual action of five viscera and six bowels, and external shapes. The hypersensitive large intestine syndrome is generally chronic and recurred in many cases, so it is more efficacious than symptomatic to treat according to find the contradictions of individual shapes. The shapes and cases suffering frequently the hypersensitive large intestine syndrome are Gi-kwa and Sin-kwa, having a long nose, having a bruised spot on Triple warmer, man with inclined mouth, Taeeum type, man with congested fluids, man with colic symptoms. The hypersensitive large intestine syndrome in Oriental medicine is recognized of diarrhea, constipation, abdominal pain, abdominal distention and fullness caused by seven emotions. In Dongeuibogam it can be found out the similarity in depressive symptoms due to disorder of Gi, stagnation of Gi, dysphasia due to disorder of Gi, diarrhea due to disorder of Gi, fullness of due to Gi, diarrhea due to phlegm-retention, retention of undigested food, immoderate drinking, hypo-function of the spleen, or deficiency, abdominal pain from colic symptom, and difficulty in defecation and urination, internal injury, diarrhea due to weakness and fatigue. If the Jung, Gi, Sin, and Hyul composed the human body is broken harmony, the function of large intestinal transmission would be fallen, so similar symptoms like the hypersensitive large intestine syndrome are gotten. Especially Gi-kwa suffers diarrhea, constipation abdominal pain, and abdominal distention and fullness due to depressive symptoms from disorder of Seven emotions or Seven Gi. And Sin-kwa suffers from the hypersensitive large intestine syndrome due to emotional restlessness having an influence on rhythmic movement of abdomen. Examining between five viscera and six bowels and the hypersensitive large intestine syndrome, Liver cannot disperse well having influence on mutual relation of Liver-Large intestine, Heart reduces the function of defecation and urination not to control the seven emotions, Lung having exterior and interior relation with intestine has an influence on primordial energy and let the main symptoms occur, Spleen circulating the body fluid let the main symptoms occur due to malfunction of circulation, Kidney locating in lower part of the body has deep connection with intestine, so let the disorder. Urinary bladder is connected with intestine in moisture metabolism, Stomach is connected in receive and transmission, Small intestine is connected in absorption and excretion, from small intestine pain disturbing the abdominal movement, Samcho managing the catharsis of lower heater if declined its function causes the hypersensitive large intestine syndrome. The colic symptoms of Front private parts which disorder in lower abdomen give rise to abdominal pains, difficulty in defecation and urination due to Cold are similar to the hypersensitive large intestine syndrome. The treatments of applying the shapes of colic syndrome advocated by Master Park can be efficacious cure in clinic. Researching after the clinical cases of Master Park advocating Hyungsang medicine, we came to know that plenty of prescriptions of internal injury are applied and take good effects.

Is Rectosigmoid Vaginoplasty Still Useful?

  • Kim, Seok-Kwun;Park, Ji-Woen;Lim, Kwang-Ryeol;Lee, Keun-Cheol
    • Archives of Plastic Surgery
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    • 제44권1호
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    • pp.48-52
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    • 2017
  • Background The ideal vaginoplasty must be successful functionally as well as have a natural appearance, and also must retain its functionality and appearance over the long term. Conventional vaginoplasty techniques have functional limitations and are associated with recurrent complications, but rectosigmoid vaginoplasty is known to have a high satisfaction rate due to its functional similarity with the vagina. We conducted the present study to assess the usability of rectosigmoid vaginoplasty over the course of long-term follow-up. Methods From March 1992 to February 2014, 84 patients were treated with rectosigmoid vaginoplasty; 44 had gender identity disorder, 29 had vaginal agenesis, 8 had female pseudohermaphroditism, and 3 had gynecologic malignancies after radical pelvic surgery. This retrospective study was based on a review of the patients' records, clinical examinations, complications, and questionnaires about appearance, function, and sexual intercourse. Results All patients who underwent rectosigmoid vaginoplasty were discharged within 2 weeks without surgical flap loss. The early complications were partial flap necrosis, difficulty in defecation, mucous hypersecretion, and postoperative ileus. The late complications were vaginal introitus contracture, vaginal prolapse, and difficulty in urination. The mean length and diameter of the neovagina 3.4 years after rectosigmoid vaginoplasty were 13.2 cm and 3.8 cm, respectively. On questionnaires about satisfaction, 70% of patients reported excellent satisfaction, 11% good, 12% fair, and 7% poor. Conclusions Rectosigmoid vaginoplasty is useful, safe, and well-accepted operative method with good functional and cosmetic results, such as natural lubrication and adequate vaginal length and width obtained without requiring the use of a dilator.

쑥뜸요법이 노인의 CMI에 미치는 효과 (The Effects of Moxibustion on Cornell Medical Index in the Elderly)

  • 유경원;민순;박재경;김정효;강경구
    • 동서간호학연구지
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    • 제13권2호
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    • pp.79-91
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    • 2007
  • Purpose: To improve health care of the elderly, we have used Moxibustion to examine the effectiveness of this product from 1st Feb. 2007 to 31 st May for 78 people who are older than 65 years old twice a week. Method: The tool of research was modified Cornell Medical Index(CMI) which Nam Ho Chang(1965) modified for the Korean and CMI which consists of 26 questions. Data were analyzed in frequency, paired t-test by SPSS. Result: Hypothesis: 'It was supported that CMI increases for those who have treated Moxinustion'. There were significant differences between before and after using Moxibustion when the symptom is one of those which are sore throat, tonsillar, edema, tightness of nose, common cold, cough, tightness of chest, palpitation, dyspnea, edema of leg, difficulty of urination, anorexia, heavy on stomach, nausea, vomiting, dyspepsia, fullness of abdomen, stomachache, diarrhea, constipation, incontinency of stool, arthralgia, shoulder or backache, lumbago, headache, burning or chillness, vertigo and dizziness. Conclusion: As a result, Moxibustion is effective for such symptoms so that it is considered to be using in everyday life this product for better health care.

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만성 전립선염 환장의 치험 2예 (Clinical Report of Two Patients with Chronic Prostatitis)

  • 심국진;박형진;조철원;강세영;김홍준;송봉근
    • 동의생리병리학회지
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    • 제18권1호
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    • pp.274-278
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    • 2004
  • The prostatitis is characterized as relatively incurable, chronic and recurrent illness. Because of this property, we have a difficulty in treating this illness. The purpose of this study is evaluating the efficiency of herb medicine, acupuncture, and herbal acupuncture therapy to the prostatitis. A clinical observation was made on two patients with chronic prostatitis who had perineal pain, pubic pain, testicular pain, painful urination, frequency and dysuria. They were treated with herb medicine, acupuncture, and herbal acupuncture therapy for four weeks and symptoms were considerably decreased. This result suggests that oriental medical therapy is useful enough to treat the prostatic diseases. Therefore the further study of the approach and application of this treatment on prostatitis would be necessary.

통증관리 159예의 통계적 고찰 (Pain-control Experiences with 159 patients)

  • 변진관;박진우;이상영;박주열
    • The Korean Journal of Pain
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    • 제1권2호
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    • pp.207-210
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    • 1988
  • To evaluate recent trend of pain management at our pain clinic, the pain-contol experiences of 159 patients performed at the Inje Medical College Paik Hospital from May 1987 through August 1988 were analyzed statistically according to age, sex, combined diseases, techniques performed and clinical effects. The results are as follows: 1) Most of the 159 patients, including 104 males and 55 females, were in the 4th, 5th, and 6th decades of life. 2) The most common complaint of the patients was low back pain in 94 cases (59.1%) 3) The lumbar epidural block was the most frequently performed pain block (62.5%) 4) The period of the treatment generally ranged from 3 weeks to 2 months. 5) The number of patients who obtained good and excellent analgesic effects following the block was 110 (69.2%) 6) The most common complications following the pain block were pruritus (23.9%), urination difficulty (20.1 %), and nausea and vomiting (16.4 %).

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소아(小兒) stress에 관한 문헌적(文獻的) 고찰(考察) (A study on stress in Children)

  • 김기봉;김장현
    • 대한한방소아과학회지
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    • 제16권1호
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    • pp.105-124
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    • 2002
  • With the progress of civilization, the disorders due to the stress, which derived from the social-structural complexity and diversity, are on an increasing trend in our times. Accordingly, the accurate diagnosis and appropriate treatment for them are required. Especially in the current years, children's disorders delivered by the emotional problems keep increasing. In this research, the researcher tried to figure out the cause of the children's stress and its treatment, studied the theories of the stress in the modem medicine and the sever emotions in oriental medicine, and came to the conclusion as follows: 1. The stress can be defined as the combination of the reaction to noxious stimuli and its defense mechanism of the body, In oriental medicine, it is considered as pathological notions which includes seven emotions as the internal factor, six evils as the external factor and other foods, expectoration, ecchymoma as the non-internal/external factors. 2. Children usually get stressed by various reasons in a growth process such as schooling, relationship with friends, the opposite sex of family, or change of surroundings, and these can cause the various disorders. 3. In the study of the children's stress symptoms, it is found that the silent reaction is uncommon. It usually appeared in both reactions: firs, physical reactions such as stomachache, vomiting, headache, neural frequent urination, bronchial asthma or excessive respiration and/or, second, behavioral reactions such as a decline of performance, alimentary disorder, e.g. anorexia nervosa or bulimia, sleep disorder, e.g. nightmare or panic in sleep, anthrophobia, refusal to a school attendance or hyperactiveness. Besides, the peculiar mental disorder such as paroxysm of anger, tic, autism, nocturnal enuresis, lack of attentiveness, impediment in linguistic development, learning difficulty, intellectual decline, etc. can be appeared, and the heavy stress during the babyhood can cause the regression of behavior or the immaturity of formation of character. 4. The appropriate treatments for the children's stress are Osteopathy, Manpulation, Aroma Therapy, Alexander Technique, Autonomic Never Control Treatment, Biofeedback, Chiropractic, Dance Therapy, Feldenkrasis Technique, Gravity Therapy, Homepathy, Aquatherapy, Hypnotherapy, Naturopathy and Meditation.

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Typha orientalis inhibits inflammatory cytokine expression through suppression of ERK phosphorylation in HMC-1 cells

  • Choi, In-Young;Na, Ho-Jeong;Um, Jae-Young;Kim, Hyung-Min;Hong, Seung-Heon;Sim, Kuk-Jin;Song, Bong-Keun;Nam, Gi-Hye;Choung, Se-Young;Jeong, Hyun-Ja
    • Advances in Traditional Medicine
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    • 제10권1호
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    • pp.7-12
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    • 2010
  • Typha orientalis' stem (TOS) is traditionally used as an herbal medicine for difficulty in urination, galactophoritis purulenta, whooping cough, and allergic dermatitis. However, its effect in experimental models remains unknown. Here, we report the effect of TOS on the phorbol 12-myristate 13-acetate (PMA) plus calcium ionophore A23187-induced inflammatory cytokine production and extracellular signal-regulated kinase (ERK) activation in the human mast cell line, HMC-1. TOS inhibited PMA plus A23187-induced cytokines such as tumor necrosis factor-alpha (TNF-$\alpha$) and interleukin (IL)-6. Maximal inhibition rate of TNF-$\alpha$ and IL-6 production by TOS (1 mg/ml) was about 44.02%, and 45.20%, respectively (P < 0.05). In addition, TOS inhibited the expression of TNF-$\alpha$ and IL-6 mRNA under the same condition. Moreover, TOS partially blocked PMA plus A23187-induced ERK phosphorylation. These results suggested TOS could inhibit the cytokine production through blocking of ERK activity.